Provider Demographics
NPI:1932927712
Name:QUASH SERENITY HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:QUASH SERENITY HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:QUASHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-936-1680
Mailing Address - Street 1:23 LENORE CT
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-2008
Mailing Address - Country:US
Mailing Address - Phone:404-936-1680
Mailing Address - Fax:770-575-4041
Practice Address - Street 1:23 LENORE CT
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2008
Practice Address - Country:US
Practice Address - Phone:404-936-1680
Practice Address - Fax:770-575-4041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health